健脾补肾方对再生障碍性贫血患者外周血Th17及相关细胞因子水平的影响
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上海中医药大学附属岳阳中西医结合医院,上海 200437

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R285.5

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基金项目: 国家自然科学基金(NO:81001510) 收稿日期: 2013 - 04 - 09 修回日期: 2013 - 05 - 17 作者简介: 胡令彦(1981~),女,上海人,博士在读,主治医师,主要从事中医血液病临床及实验室研究工作。 △通信作者:胡明辉,E-mail:hmhui.com@163.com


Effect of the Tonifying Sleep and Kidney Treatment Method on the Peripheral Levels of Th17 and Related Cytokine in Chronic Aplastic Anemia.
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Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of TCM,Shanghai 200437

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    摘要:

    目的 探讨健脾补肾方对70例慢性再生障碍性贫血(CAA)患者治疗前后的调节性T细胞及白介素-6(IL-6),白介素-17(IL-17)水平差异的影响。方法 收集CAA患者70例,分为对照组和治疗组,治疗组45例分为脾肾阴虚组及脾肾阳虚组,采用ELISA法检测血浆中IL-17,IL-6的水平,流式方法检测Th17水平。统计治疗前后的各指标水平变化。结果 与正常组比较,CAA患者Th17及IL-6水平高于正常(P<0.05)。经健脾补肾方治疗后,脾肾阳虚组Th17及相关细胞因子均有下降(P<0.05)。脾肾阳虚组IL-16水平下降(P<0.05)。对照组Th17水平下降(P<0.05)。结论 健脾补肾方对CAA患者水平Th17及其相关细胞因子变化有调节作用。

    Abstract:

    Objective To investigate the significance of the tonifying sleep and kidney treatment in those patients with chronic aplastic anemia through the peripheral levels and clinical significance of Th17 ,IL-17,IL-6 . Methods Collect 70 patients with CAA and devided them into the treatment group and control group . The treatment group was devided into PISHENYINXU group and PISHENYANGXU group and treated them with the the tonifying sleep and kidney treatment . ELISA assay was used to determine the serum levels of IL-17, IL-6 of 70 patients with CAA and FCM was used to detect the Th17. Results The levels of Th17 and IL-17 in CAA were higher than those in normal group(P<0. 05). The levels of Th17 and the related cytokines in PISHENYANGXU group and the level of IL-6 in PISHENYINXU group declined. The level of Th17 in normal group declined(P<0. 05). Conclusion The tonifying sleep and kidney treatment menthod may have effect on Th17 and the related cytokines.

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